Pharmacies That Carry Buprenorphine Made By Mylan Or Roxanne 54 411 (Page 23)
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I've been taking Buprenorphine 8mg for 3 1/2 years now, all of a sudden every pharmacy in our area (that I know of) has switched the manufacturer they are order from, frustrating to me as I just seem to see a difference all though there shouldn't be. Does anyone know a pharmacy that still carries bup mg with the imprint 54 411?

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36

Re: John (# 35) Expand Referenced Message

I'm freaking out!!! I can't find Roxane anywhere .. Walgreens says they are back orders but now I read in the thread they are discontinued.. I tried 2 other brands and got so sick at work I had to call out 2 days.. I am sweating and shaky and depressed .. I'm not sure what to do. Any advice?

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35

How many different companies make Buprenorphine. I have been taking this medication since 2009 and last month the Drug Store gave me a prescription made by ROXANNE. I became very ill with these, was dizzy, vomiting and just very sick. I normally get them from ACTAVIS and was told by the pharmacy that even though the main ingredient is the same, different companies use different binders, fillers and other chemicals in their pills.

Would like to know how many different companies make this medication? The one that made me sick was from ROXANNE.

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34

Oh no. Please, please, please let this not be happening again.

Has anyone had troubles in the last week or so refilling their prescription for Roxanne (or Westward)?

I'm very worried about having Activas as the only option for me again, which is truly not something I cant even do.

Walgreens filled my prescription with Activas even though I confirmed during dropoff that the note was still on my account that instructs to not fill with Activas and only fill with Roxanne.

When i picked it up later, I saw those scary words, "Activas/Elizabeth " on the outside wrapper.

I can't even explain the feeling that went through me when I read that. Sounds so crazy and pathetic, but I was instantly reminded of my previous experience with it.

I spoke with the pharmacist about it, and thankfully he was great and pleasant.

He said the system was showing Roxanne wasnt available, then after a little he said it looked like it might not be until October.

He kept searching and then asked things about the size, shape, color, etc. of it to see if it matched Westwards. (That when I mentioned the aquisition).

This was this past Friday. He said it looked like the Westward wouldn't get in until Tuesday.

Of course it was a no brainer to wait. You couldn't pay me to go another month on Activas. I'm very serious about that.

Well, today is Tuesday and I've started to worry since this exact same situation happened the other month.
..........

Pharmacy ordered Roxanne (westward). They received Actavis. So they tried again.... The next day, they received another bottle of Activas and Roxanne was removed from their system altogether.

I went to another pharmacy and had to go with Hitech. Hitech is definitely not the same either. Very, very, very noticeable difference between it and Roxanne. However, I'd take Hitech any day over Activas if that was my only option.
...........

So now it's Tuesday and I am very worried about experiencing the same, dangerous, back and forth waiting game as I did the other month. It's truly mind boggling how that is even allowed for this medication. If they are shipped Activas, even though they ordered Roxanne/Westward, it will be devastating.

I just wanted to hop on here and see if anyone else from the past couple months is facing this all over again.....

I really pray not. I sincerely hope this it is just me dealing with this, "wait and see" game, and that everyone else who knows how this feels is still able to refill with Roxanne / Westward (or whichever brand works for them.)

I'll update again after today, once I know whether or not the medication arrived. (The correct one, not Activas again).

Please let me know if anyone else from the last couple months is experiencing this nightmare again.

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33

I don't know where you are but here (NC) the Walmart pharmacies do. I feel your pain tho because I have dealt with the same thing and all of th rude pharmacists or actually usually just the people working the register like the techs are the most rude. And just because it's a different brand doesn't mean it is going to work the same for every person, the additives can/are different and if it's generic they don't even have to put the full amount of the main drug in them!

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32

Re: Be ky (# 29) Expand Referenced Message

I'll Sign A Petition !!! I'm in the Cincinnati Area & have my Prescription but I Really Need a Pharmacy I'll Pay up to $360 ! Can anyone out there help me PLEASE ??????????

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31

I'VE BEEN ON SUBUTEX "FOR PAIN" FOR 8 YEARS & NOW SUDDENLY I CAN'T FIND THEM ANYWHERE I LIVE IN THE CINCINNATI AREA & IT HAS TO BE FILLED IN CINCINNATI I PREFER THE 54/411 OR THE 460'S NOT THE LITTLE ONES THOSE ARE USELESS !

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30

Re: HB (# 28) Expand Referenced Message

Hi HB, I'm sorry to hear you're having a hard time. In regards to the Mylan generic, I do have experience with those. They aren't bad, I would choose them over every other generic aside from RoxaneWestward. They are the next best one. Not quite as good, but they do just fine. No side effects for me as has occurred with the other generics. If for some reason I was unable to access the Roxane-Westward brand tablets, Mylan are the only other one I would take. Hope that helps.

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29

Re: kdmrXohio (# 19) Expand Referenced Message

I totally would be on that petition.
..lmk...ty....

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28

Re: Zen (# 1) Expand Referenced Message

Same here I live in mass outside Boston and waited for so long for mine that I was like a month to 6 weeks behind for my scripts. I take the Roxanne 54-411's I called around found some and had to cut down. I never used another brand bc the last time I did it sucked. It was when they switched To hi-tech and it was wearing off half
Way thru the day. I requested a special order and finally got them but then I went to pick up this month I sent someone else and they gave them the mylan m924's. I can't get a real answer on if they are awful and I'm afraid to try it. I want to return as I'm upset they did not inform me which I specifically asked them to do if I was not receiving the Roxanne which was bought by west ward pharmaceuticals or the Tevas. Now I'm sure I'll have to fight to return. Can anyone tell me what they think about the mylan m924s please. I have to say the past cpl months on the Roxanne I've noticed a difference that they seem to not be working as well so I wonder if anything changed and that's why they were bought out. At this point I'm willing to switch but I'm
Concerned for bad reactions which I've had from other brands when switching.

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27

I'm down to do the petition.
I just called my dr office to ask them if I had any options, I got the half moon pills, and they said I was the first to tell them about it.. I have withdraw symptoms. Called the pharmacy and she said to give it a few days, that maybe it's my body ... I have no other options at this point.

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26

I'm dealing with the same s***. I can't even locate any of the 1s made by Roxane and it's annoying. I hate the big peachy oval ones / & the tiny white 1s as well...they don't work the same at all....ur def correct.... I'm stressed & I live in massachusetts!!! Not PA, so it's everywhere.

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25

No, the 460s made by Sun are not equivalent to the 54-411, no one is saying they are. It's very apparent to everyone that they aren't. But a lot of us have contacted Roxane-West-Ward labs and they have reassured us that they are still manufacturing and shipping out the same 54-411 tablets for distribution, daily. I am positive of this because my fiancee and myself are still taking them, and we don't even go to the same pharmacy, and the one I go to is nowhere near the one he goes to. He received the 460 imprinted tablets by Sun, only one time, after which all of the customers at his pharmacy who received them, returned their prescriptions and had complaints regarding that brand of the medication. From that point forward, the pharmacy stopped carrying them and now carry 2 other brands, Roxane/West-Ward being one of them. I also go to another pharmacy when my usual one is closed, and they too still carry the ones I prefer. So that's three pharmacies right there, and ALL in different areas. So I can 100% assure you they are still being made. As Roxane West-Ward labs have said, the pharmacist may CHOOSE not to order that brand because Sun (460) is a lesser cost, and they have no control over which brand the pharmacy chooses to carry. Yes the 460 are made in India and yes they are cutting costs, thus making a very poor product. But those two tablets, and those two companies, are very much separate!

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24

No no I have done much research. The West-Ward Pharmaceutical company bought out Roxane for 2.1billion $. They in turn manufacturer there brand via Sun pharmaceutical company in India.The Roxane brand 54/11 no longer are made. West word and a chemist from Sun emailed me with THERE FORMULA.It is supposed to be equivalent to the white 460they produce. It's NOT. I had horrible w/d symptoms. I gave it over a month thinking my body needed to acclimate to me ingerdients. I saw my Dr which encouraged me to file a claim with the FDA which I did and encourage others. It's obvious when you first put it under your tongue. Burning sensation nasty stuff. Roxane brand never did. I put a lot of research and reason into this cause I'm suffering along with everyone else. I was so perplexed why they didn't just copy it. It's made in India idk if that has anything to do with it or not. I've been on these. Since 2004. Btw, my pharmacy attempted to order Roxane along with CVS pharmacy. It comes bk marked Red. Discontinued. This thread has been very profound the last couple of months. If they are equivalent to Roxane why all the problems? I sure didn't make this up! Now I will say Mylan which was at the bottom of the list seems to now be as close to Roxane as I could find. And I've searched them all. Hope this clarifies my feedback.

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23

Roxanne56, it seems you are confused. I don't want anyone else to be confused, or to be reporting WestWard to FDA for that matter because none of us want that!! Let me clear this up:

The new tablets that you don't like, have NOTHING to do with Roxane. If you are referring to the "460" imprinted tablets that is, which I believe you are. Those are manufactured by Sun Pharma. NOTHING TO DO WITH ROXANE. Pharmacies got those in when they couldn't obtain the Roxane tablets. Roxane was bought out by Hikma. Hikma is the parent company of West-Ward. West-Ward & Roxane were merged as one. They STILL manufacture the exact same white, round "54 511" imprinted 8mg tablets as before, and the tablets STILL produce the same efficacy as before. The ONLY difference in the 54 411 tablets is the manufacturer on the bottle should now be listed as "West-Ward" or "Roxane/West-Ward".

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22

I can attest to the Mylan brand being as effective if not better than Roxane. They don't wear off and same effectiveness. I've been struggling with this dilemma since June. I've filed a claim against Wentworth pharmaceutical/Sun with the FDA. Please do so also. They bought our Roxane brand and totally messed up. It's made in India. So there you go.

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21

Yes the Mylan brand is just as effective as Roxanne. They even look alike. They don't wear off like others either. Now I tried Mylan once. Hated it. They did something different cause they work. Also get an Rx coupon. It will save you half the price. I still encourage everyone to file a complaint with the FDA for that garbage Westward. I'd like to sue.

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20

I have never posted on one of these forums before but am honestly shocked here. I had the same problem with the Actavis pills...5 years on Roxanne's and have been doing amazing, went from being homeless with no one in my life to pulling in six figures with a beautiful family and house, it gave me the platform to change my life in every way imaginable!! I recently went on a trip to Maryland and had to get my script filled and lucked out because the CVS in Salisbury, MD had the Roxanne which is going to last me through the month and then I will try Mylans for the time being.

HERE IS THE IMPORTANT PART GUYS!!!! My bottle says "MFG: ROXANNE/WEST-WAR" so if they got bought out, the CVS in Salisbury has received their new shipment as before it only listed "MFG: ROXANNE", I see this as a good sign for everyone. I spoke with a CVS pharmacist I am friends with and she stated that all the orders at their pharmacies come from corporate. If a chain pharmacy was having CONSISTENT back orders, they likely temporarily switched. Being in sales myself, they will likely get switched back once orders are ready to fill (which I read in a recent post above that they are filling orders again...) if a company gets bought out, often times the change of power can create panic in the workplace and production often goes down, there are layoffs, etc. it's not that the pharmacies or distributors or even manufacturers are trying to screw us over, they are trying to make a quick buck, but why would you put out a subpar product when there is a clear favorite on the market? We are addicts, we will go to whatever is best and strongest (Roxanne) - it won't be going anywhere anytime soon unless they come under suspicion for other reasons.

Please try not to panic and please don't replace, you can get through it! Talk to your doctor too!! My doctor totally understood and said he would call me in extra if I needed them during the transition (never had to but the actavis was so depressing I did take extra about every 3rd or 4th day). You and I are people too, just be reasonable and rational and we will all get through this together!!

By the way, f*** yes to a petition against actavis!

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19

WOULD ANYONE BE INTERESTED IN STARTING A PETITION TO PROVE THAT THESE BIG CHAIN PHARMACIES (CVS, WALMART, RITE AID, WALGREENS ETC) TREAT US UNFAIRLY BECAUSE OF THE PRESCRIPTION WE GET, REFUSE TO ORDER OUR PREFERRED MEDICATION WHEN THEY VERY WELL COULD EASILY DO SO, AND REFUSE TO FILL OUR PRESCRIPTIONS FOR REASONS LIKE THEY'RE NOT ACCEPTING NEW PATIENTS (BUT ONLY FOR THAT MEDICATION), OR BECAUSE OF WHERE WE LIVE OR WHERE OUR DOCTOR'S OFFICE IS, OR ONLY IF WE PAY WITH CASH -- IT'S NOT RIGHT! IT'S DISCRIMINATION! AND ONLY OUR SPEAKING UP WILL CHANGE THAT BECAUSE THE ONLY THING THEY CARE ABOUT IS PROTECTING THEIR REPUTATION! REPLY WITH MY NAME IN THE COMMENT TO LET ME KNOW WHAT YOU THINK! THANKS!

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18

Riggsk, thanks for the response. Sorry for such a late reply on here.

I'm coming close to finishing a month on the Hitech brand after going an unbelievably shockingly bad month on Activas.

Without a doubt, Hitech is still not as therapeutic as Roxane. The difference between Hitech and the Roxane I was on for years, consistently, is very noticeable. Less effective in all aspects.

However, for me the Activas brand was by far....by far.... the worst medication I've ever experienced in my life. Yes, it kept the severe withdrawal symptoms at bay, but the side effects were unbelievable. Most depressing, stressfull, and honestly dangerous month I can remember ever experiencing. I am still in disbelief of it.

No question about it I would take Hitech any day of the week over Activas -- even if it costs 3x as much to refill.

But with that said, Hitech is still not the same, by far, as Roxane. However, it didn't have as strong effect on depression and energy, in a negative manner, as Activas does.

So I'm really, really, really, really, really hoping I can at least refill with Westward or the Mylan this month.


People really need to report their experiences with these mediations to the Medwatch program and other centralized programs.

The government, doctors, and pharmacists in general still are not aware of how significant of an impact changing from one generic to another for this medication truly can be on us. It's not their fault, it's just a matter of there not being enough data, both quantitative and qualitative, yet for there to be new policies that help patients from going through *very dangerous* experiences with a different manufacturer.

With the opioid epidemic I feel that there is a lot of leniency on manufacturers to just get medications out, but not enough attention placed on the potential negative effects that happen when *generics are 100% not equal in this category of medication* - not even close in my opinion.

Cheers

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17

RESPONSE TO Cxxl9, Just wanted to help you out, you said you had never tried Mylan but haven't been able to have access to your preferred brand, Roxane/WestWard. I can attest that Mylan's are very similar... The efficacy / effect is similar. The taste is similar, just less noticeable... And they are definitely more effective, with less side effects, in comparison to Sun Pharma's tablets.

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